Familiarize yourself with the MTF PDFs here:
https://apps.carleton.edu/campus/gsc/assets/hormones_MTF.pdf
http://lgbtqpn.ca/wp-content/uploads/woocommerce_uploads/2014/08/Surgery-MTF.pdf
SF has Lyon Martin, which is a great resource. You may or may not be able to get seen by them as a new patient, but if you are, you'll have some of the best trans healthcare possible. Get in touch with them to see if you can become a patient of theirs. The main constraint is whether or not they're accepting relevant insurance at any given moment.
If yes, they have intake forms on their site. There's a bunch, so it's tedious, but L-M is worth it. Once you're a patient there, you'll discuss your goals with your doctor or nurse (likely Calvin Gilbert). You'll have blood drawn, or you'll go to Quest for that. Shortly thereafter (~a week) you'll get a prescription. Then you're on to checkups every 3 months to monitor hormone levels while your doses are being adjusted.
If you're looking to get surgeries, earliest is 1 year after start of care, so you'll have time to think. They'll guide you through that too, but it's usually 2 convos (30min) with in-house psychologists.
Basically everyone who you'll interface with at L-M will be trans. Reception staff, Calvin, the psychologists, all trans. They want to give you care as quickly as possible and with as little gatekeeping and they'll cut all the bullshit out.
Planned Parenthood is reportedly good for medical. Same deal probably goes for them. Regardless, tho, California is an Informed Consent state meaning any doctor can do this if you ask, and is obliged to. But different doctors will be differingly irritating. Isis recently got a hysto and their anaesthestiologist was a massive shithead because he probably wanted to fuck them. YMMV.
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Get the checklist from Lyon Martin. It's the best. Follow it. This is rather tedious. It's lots of forms, a bunch of money, possibly in multiple states.
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Don't forget to update credit cards, banks, leases, etc.
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Don't forget to update online identities. I slowly rolled out changes as I came across old info.